Individual
MR. STEPHEN SANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
20 BROAD ST, WESTON, CT 06883-2911
(203) 221-7869
Mailing address
20 BROAD ST, WESTON, CT 06883-2911
(203) 221-7869
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
081817-1
NY
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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